| NPI | 1659864999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 95840) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL52479) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2023-11-09 |